Chastiti Hill Vazquez-gual, | |
6520 3rd St, Rockledge, FL 32955-5703 | |
(321) 622-8792 | |
(321) 622-8793 |
Full Name | Chastiti Hill Vazquez-gual |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 6520 3rd St, Rockledge, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316410749 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 19267 (Florida) | Primary |
Provider Name | Axispro Physical Therapy Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1821443474 PECOS PAC ID: 5395035158 Enrollment ID: O20161202001920 |
Mailing Address | Practice Location Address |
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Chastiti Hill Vazquez-gual, 4495 Pagosa Springs Cir, Melbourne, FL 32901-8306 Ph: (787) 391-2123 | Chastiti Hill Vazquez-gual, 6520 3rd St, Rockledge, FL 32955-5703 Ph: (321) 622-8792 |
Melissa Jean Meikle, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1535 Cogswell St Ste 24, Rockledge, FL 32955 Phone: 321-872-8737 | |
David Joseph Banta, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2260 Bridgeport Cir, Rockledge, FL 32955 Phone: 321-427-0046 | |
Ms. Andrea Ruth Press, OT, CHT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1982 Us Highway 1, Suite 102, Rockledge, FL 32955 Phone: 321-631-5366 Fax: 321-631-5365 | |
Ms. Bertha Ann Whaley, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1031 Cascade Cir Apt 304, Rockledge, FL 32955 Phone: 786-287-0175 | |
Tracey Renee Dumphy, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1024 Florida Ave S, Ste. 6, Rockledge, FL 32955 Phone: 321-634-3688 Fax: 321-504-0955 | |
Kaia Rae Higginbotham, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6520 3rd St, Rockledge, FL 32955 Phone: 321-622-8792 | |
Caylee Jacquelyn Banta, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2260 Bridgeport Cir, Rockledge, FL 32955 Phone: 321-446-2742 |